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诱发电位改变与脊髓型颈椎病手术疗效相关性的研究进展 被引量：3

Research advances of the use of evoked potentials in predicting the surgical outcomes of cervical spondylotic myelopathy
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摘要 脊髓型颈椎病（cervical spondylotic myelopathy,CSM）是由于颈椎退行性改变（如椎间盘突出、椎体后缘骨赘形成、黄韧带肥厚等）导致的颈脊髓压迫症,是最常见的导致颈脊髓功能障碍的病因。手术干预被认为是目前最有效的治疗方式,但CSM临床表现与术后恢复情况个体差异较大。有研究表明手术疗效受较多因素影响,临床预后评估存在一定难度。
作者 肖玮 于滨生
机构地区 北京大学深圳医院脊柱外科 汕头大学医学院 北京大学深圳医院骨科研究中心深圳市脊柱外科重点实验室
出处 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2016年第3期284-288,共5页 Chinese Journal of Spine and Spinal Cord
基金 深圳市科技计划项目(编号:JCYJ20150403091443318 ZDSY20150505110905682)
关键词 脊髓型颈椎病 颈脊髓压迫症 体感诱发电位 手术减压 颈椎退行性改变 MYELOPATHY spondylotic 椎体后缘骨赘 黄韧带肥厚 术后恢复情况
分类号 R681.5 [医药卫生—骨科学] R741.044 [医药卫生—神经病学与精神病学]
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参考文献58

  • 1Kalsi-Ryan S, Karadimas SK, Fehlings MG. Cervical spondy- lotic myelopathy: the clinical phenomenon and the current pathobiology of an increasingly prevalent and devastating dis- order[J]. Neuroscientist, 2013, 19(4): 409-421.
  • 2Boogaarts HD, Bartels RH. Prevalence of cervical spondylotic myelopathy[J]. Eur Spine J, 2015, 24(Suppl 2): 139-141.
  • 3Furlan JC, Kalsi-Ryan S, Kailaya-Vasan A, et al. Functional and clinical outcomes following surgical treatment in patients with cervical spondylotic myelopathy: a prospective study of 81 cases[J]. J Neurosurg Spine, 2011, 14(3): 348-355.
  • 4Sampath P, Bendebba M, Davis JD, et al. Outcome of pa- tients treated for cervical myelopathy: a prospective, muhicen- ter study with independent clinical review [J]. Spine, 2000, 25(6): 670-676.
  • 5Holly LT, Matz PG, Anderson PA, et al. Clinical prognostic indicators of surgical outcome in cervical spondylotic myelopa- thy[J]. J Neurosurg Spine, 2009, 11(2): 112-118.
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二级参考文献71

  • 1McCormick WE,Steinmetz MP,Benzel EC.Cervical spondylotic myelopathy:make the difficult diagnosis,then refer for surgery.Cleve Clin J Med,2003,70(10):899-904.
  • 2Ichihara K,Tagnchi T,Sakuramoto I,et al.Mechanism of the spinal cord injury and the cervical spondylotic myelopathy:new approach based on the mechanical features of the spinal cord white and gray matter.J Neurosurg 2003,99(3 Suppl):278-285.
  • 3Rao R.Neck pain,cervical radiculopathy,and cervical myelopathy:pathophysiology,natural history,and clinical evaluation.J Bone Joint Surg (Am),2002,84(10):1872-1881.
  • 4Baron EM,Young WF.Cervical spondylotic myelopathy:a brief review of its pathophysiology,clinical course,and diagnosis.Nearosurgery,2007,60(1 Suppl 1):S35-41.
  • 5Hu Y,Jiang F,Luk KD.Time-frequency feature of intraoporative somatosensory evoked potential signals.Conf Proc IEEE Eng Med Biol Soc,2007,2007(24):2448-2451.
  • 6Bouchard JA,Bohlman HH,Biro C.Intraoporative improvements of somatosensory evoked potentials:correlation to clinical outcome in surgery for cervical spondylitic myelopathy.Spine (Phila Pa 1976),1996,21(5):589-594.
  • 7Hu Y,Ding Y,Ruan D,et al.Prognostic value of somatosensoryevoked potentials in the surgical management of cervical spondylotic myeiopathy.Spine (Phila Pa 1976),2008,33(10):E305-E310.
  • 8Zhang ZG,Yang JL Chan SC,et al.Time-frequency component analysis of sematesensory evoked potentials in rats.Biomed Eng Online,2009,8:4.
  • 9Cheung WY,Arvinte D,Wong YW,et al.Neurological recovery after surgical decompression in patients with cervical spondylotic myeiopathy-a prospective study.Int Orthop,2008,32 (2):273-278.
  • 10Matsumoto M,Toyama Y,Ishikawa M,et al.Increased signal intensity of the spinal cord on magnetic resonance images in cervical compressive myelopathy.Does it predict the outcome of conservative treatment? Spine (Phila Pa 1976),2000,25(6):677-682.

共引文献43

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引证文献3

二级引证文献15

中国脊柱脊髓杂志
2016年 第3期

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